Secondary traumatic stress in the emergency department

Aim: To investigate the prevalence of secondary traumatic stress among Emergency nurses in the West of Scotland and explore their experiences of this. Background: Unexpected death, trauma and violence are regular occurrences that contribute to the stressful environment nurses working in the Emergency department experience. A potential consequence of repeated exposure to such stressors can be referred to as secondary traumatic stress. Design: Triangulation of methods of data collection, using two distinct phases: Phase 1 – quantitative Phase 2 – qualitative Methods: Quantitative data were collated via postal questionnaire, from a convenience sample of Emergency nurses. Qualitative data were subsequently collated from a focus group constituting of a random sample of these Emergency nurses. Descriptive statistics were computed and thematic analysis conducted. All data were collated during February 2013. Results/findings: 75% of the sampled Emergency nurses reported at least one secondary traumatic stress symptom in the last week. Participants said that acute occupational stressors such as resuscitation and death were the influencing factors towards this. Strategies such as formal debriefing and social support were cited as beneficial tools for the management of secondary traumatic stress; however, barriers such as time and experience were found to inhibit their common use. Conclusion: Secondary traumatic stress is a prevalent phenomenon among Emergency nurses in the West of Scotland and if not managed appropriately, could represent a significant barrier to the mental health of this group and their capacity to provide quality care

The Mid-Infrared Instrument for the James Webb Space Telescope, VII: The MIRI Detectors

The MIRI Si:As IBC detector arrays extend the heritage technology from the Spitzer IRAC arrays to a 1024 x 1024 pixel format. We provide a short discussion of the principles of operation, design, and performance of the individual MIRI detectors, in support of a description of their operation in arrays provided in an accompanying paper (Ressler et al. (2015)). We then describe modeling of their response. We find that electron diffusion is an important component of their performance, although it was omitted in previous models. Our new model will let us optimize the bias voltage while avoiding avalanche gain. It also predicts the fraction of the IR-active layer that is depleted (and thus contributes to the quantum efficiency) as signal is accumulated on the array amplifier. Another set of models accurately predicts the nonlinearity of the detector-amplifier unit and has guided determination of the corrections for nonlinearity. Finally, we discuss how diffraction at the interpixel gaps and total internal reflection can produce the extended cross-like artifacts around images with these arrays at short wavelengths, ~ 5 microns. The modeling of the behavior of these devices is helping optimize how we operate them and also providing inputs to the development of the data pipeline

A 3D Drizzle Algorithm for JWST and Practical Application to the MIRI Medium Resolution Spectrometer

We describe an algorithm for application of the classic `drizzle' technique to produce 3d spectral cubes using data obtained from the slicer-type integral field unit (IFU) spectrometers on board the James Webb Space Telescope. This algorithm relies upon the computation of overlapping volume elements (composed of two spatial dimensions and one spectral dimension) between the 2d detector pixels and the 3d data cube voxels, and is greatly simplified by treating the spatial and spectral overlaps separately at the cost of just 0.03% in spectrophotometric fidelity. We provide a matrix-based formalism for the computation of spectral radiance, variance, and covariance from arbitrarily dithered data and comment on the performance of this algorithm for the Mid-Infrared Instrument's Medium Resolution IFU Spectrometer (MIRI MRS). We derive a series of simplified scaling relations to account for covariance between cube spaxels in spectra extracted from such cubes, finding multiplicative factors ranging from 1.5 to 3 depending on the wavelength range and kind of data cubes produced. Finally, we discuss how undersampling produces periodic amplitude modulations in the extracted spectra in addition to those naturally produced by fringing within the instrument; reducing such undersampling artifacts below 1% requires a 4-point dithering strategy and spectral extraction radii of 1.5 times the PSF FWHM or greater.Comment: 16 pages, 12 figures. Revised version resubmitted to A

The quantum efficiency and diffractive image artifacts of Si:As IBC mid-IR detector arrays at 5 −- 10 μ\mum: Implications for the JWST/MIRI detectors

Arsenic doped back illuminated blocked impurity band (BIBIB) silicon detectors have advanced near and mid-IR astronomy for over thirty years; they have high quantum efficiency (QE), especially at wavelengths longer than 10 $\mu$m, and a large spectral range. Their radiation hardness is also an asset for space based instruments. Three examples of Si:As BIBIB arrays are used in the Mid-InfraRed Instrument (MIRI) of the James Webb Space Telescope (JWST), observing between 5 and 28 $\mu$m. In this paper, we analyze the parameters leading to high quantum efficiency (up to $\sim$ 60\%) for the MIRI devices between 5 and 10 $\mu$m. We also model the cross-shaped artifact that was first noticed in the 5.7 and 7.8 $\mu$m Spitzer/IRAC images and has since also been imaged at shorter wavelength ($\le 10~\mu$m) laboratory tests of the MIRI detectors. The artifact is a result of internal reflective diffraction off the pixel-defining metallic contacts to the readout detector circuit. The low absorption in the arrays at the shorter wavelengths enables photons diffracted to wide angles to cross the detectors and substrates multiple times. This is related to similar behavior in other back illuminated solid-state detectors with poor absorption, such as conventional CCDs operating near 1 $\mu$m. We investigate the properties of the artifact and its dependence on the detector architecture with a quantum-electrodynamic (QED) model of the probabilities of various photon paths. Knowledge of the artifact properties will be especially important for observations with the MIRI LRS and MRS spectroscopic modes.Comment: 17 pages, 15 figures, accepted for publication in PAS

Impaired self awareness after traumatic brain injury: inter-rater reliability and factor structure of the dysexecutive questionnairre (DEX) in patients, significant others and clinicians

Aims: This study sought to address two questions: (1) what is the inter-rater reliability of the Dysexecutive Questionnaire (DEX) when completed by patients, their significant others, and clinicians; and (2) does the factor structure of the DEX vary for these three groups? Methods: We obtained DEX ratings for 113 patients with an acquired brain injury from two brain injury services in the UK and two services in Ireland. We gathered data from two groups of raters—”significant others” (DEX-SO) such as partners and close family members and “clinicians” (DEX-C), who were psychologists or rehabilitation physicians working closely with the patient and who were able to provide an opinion about the patient’s level of everyday executive functioning. Intra-class correlation coefficients and their 95% confidence intervals were calculated between each of the three groups (self, significant other, clinician). Principal axis factor (PAF) analyses were also conducted for each of the three groups. Results: The factor analysis revealed a consistent one-factor model for each of the three groups of raters. However, the inter-rater reliability analyses showed a low level of agreement between the self-ratings and the ratings of the two groups of independent raters. We also found low agreement between the significant others and the clinicians. Conclusion: Although there was a consistent finding of a single factor solution for each of the three groups, the low level of agreement between significant others and clinicians raises a question about the reliability of the DEX.</p

Impaired self awareness after traumatic brain injury: inter-rater reliability and factor structure of the dysexecutive questionnairre (DEX) in patients, significant others and clinicians

Aims: This study sought to address two questions: (1) what is the inter-rater reliability of the Dysexecutive Questionnaire (DEX) when completed by patients, their significant others, and clinicians; and (2) does the factor structure of the DEX vary for these three groups? Methods: We obtained DEX ratings for 113 patients with an acquired brain injury from two brain injury services in the UK and two services in Ireland. We gathered data from two groups of raters—”significant others” (DEX-SO) such as partners and close family members and “clinicians” (DEX-C), who were psychologists or rehabilitation physicians working closely with the patient and who were able to provide an opinion about the patient’s level of everyday executive functioning. Intra-class correlation coefficients and their 95% confidence intervals were calculated between each of the three groups (self, significant other, clinician). Principal axis factor (PAF) analyses were also conducted for each of the three groups. Results: The factor analysis revealed a consistent one-factor model for each of the three groups of raters. However, the inter-rater reliability analyses showed a low level of agreement between the self-ratings and the ratings of the two groups of independent raters. We also found low agreement between the significant others and the clinicians. Conclusion: Although there was a consistent finding of a single factor solution for each of the three groups, the low level of agreement between significant others and clinicians raises a question about the reliability of the DEX.</p

Formation and Evolution of Planetary Systems: Cold Outer Disks Associated with Sun-like stars

We present the discovery of debris systems around three solar mass stars based upon observations performed with the Spitzer Space Telescope as part of a Legacy Science Program, ``the Formation and Evolution of Planetary Systems'' (FEPS). We also confirm the presence of debris around two other stars. All the stars exhibit infrared emission in excess of the expected photospheres in the 70 micron band, but are consistent with photospheric emission at <= 33 micron. This restricts the maximum temperature of debris in equilibrium with the stellar radiation to T < 70 K. We find that these sources are relatively old in the FEPS sample, in the age range 0.7 - 3 Gyr. Based on models of the spectral energy distributions, we suggest that these debris systems represent materials generated by collisions of planetesimal belts. We speculate on the nature of these systems through comparisons to our own Kuiper Belt, and on the likely planet(s) responsible for stirring the system and ultimately releasing dust through collisions. We further report observations of a nearby star HD 13974 (d =11 pc) that is indistinguishable from a bare photosphere at both 24 micron and 70 micron. The observations place strong upper limits on the presence of any cold dust in this nearby system (L_IR/L_* < 10^{-5.2}).Comment: 31 pages, 9 figures, accepted for publication in Ap

The Iowa Homemaker vol.10, no.2

Coeds of the Naughty Ninties by Mary Morrison Beyer, page 1 Color in the Garden by Edna Rhoades, page 2 The Tragedy of Errors by Marjorie W. Smith, page 3 Where Toothbrushes Grow on Trees by Nellie Goethe, page 3 Architectural Features in Small Gardens by Margaret Jane Walker, page 4 Y. W. C. A.’s Fortieth Birthday by Ila Woodburn, page 5 4-H Club by Helen Melton, page 6 State Association by Marcia E. Turner, page 8 Child Health May Day by Anafred Stephenson, page 10 Editorial, page 11 Alumnae News by Dorothy B. Anderson, page 12 Tid Bits for Home Economics by Edith Roberts and Nellie Goethe, page 1